Breast reconstruction following prophylactic mastectomy for smaller breasts: The superiorly based pectoralis fascial flap with the Becker 35 expandable implant

Summary Introduction Immediate reconstruction using tissue expander/implants following prophylactic mastectomy for smaller breasts is a reliable means of providing similar size, shape and symmetrical reconstructions. The superiorly based pectoralis fascial flap allows an immediate reconstruction of...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2012-06, Vol.65 (6), p.705-710
Main Author: Ross, G.L
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Breast Implants
Breast Neoplasms - prevention & control
Breast reconstruction
Combined Modality Therapy - methods
Esthetics
Female
Humans
Mammaplasty - methods
Mastectomy - methods
Medical sciences
Pectoralis Muscles - surgery
Pectoralis Muscles - transplantation
Plastic Surgery
Primary Prevention - methods
Prophylactic breast reconstruction
Risk Assessment
Superiorly based pectoralis fascial flap
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Surgical Flaps
Tissue Expansion - methods
Treatment Outcome
Wound Healing - physiology
Young Adult
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Summary:Summary Introduction Immediate reconstruction using tissue expander/implants following prophylactic mastectomy for smaller breasts is a reliable means of providing similar size, shape and symmetrical reconstructions. The superiorly based pectoralis fascial flap allows an immediate reconstruction of the inferior pole and may eliminate the need for tissue expansion. Methods The superiorly based pectoralis fascial flap and implant was performed on 5 patients (10 breasts). The Becker 35 expandable implant was used in all cases and average size was 349 (range 290–400cc). Average age was 33 (range 21–43). The average BMI was 23 (range 20–26). One patient underwent further tissue expansion of the Becker 35 postoperatively. One patient developed a seroma in the abdominal fascial flap donor site that settled without the need for drainage. There were no other complications. Conclusion The superiorly based pectoralis fascial flap provides a one-stop reconstruction of the lower pole and can eliminate the need for tissue expansion in patients with small breasts.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2011.12.016